A6540
HCPCS Procedure Code
HCPCS code A6540 is the #2,610 most-billed Medicaid procedure code, with $4.6M in payments across 24K claims from 2018–2024. The national median cost per claim is $160.99.
Total Paid
$4.6M
0.00% of all spending
Total Claims
24K
Providers
21
Avg Cost/Claim
$187
National Cost Distribution
How much do providers bill per claim for A6540? Based on 21 providers billing this code nationally.
Median
$160.99
Average
$200.86
Std Dev
$80.45
Max
$394.40
Percentile Distribution (Cost per Claim)
50% of providers bill between $148.40 and $221.79 per claim for this code.
90% bill between $133.04 and $311.12.
Top 1% bill above $382.87.
About This Procedure
HCPCS code A6540 was billed by 21 providers across 24K claims, totaling $4.6M in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$160.99
Providers Billing
21
National Spending
$4.6M
Avg/Median Ratio
1.25×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A6540
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1518007913 | $1.2M |
| 2 | Integra Partners Llc Troy, MI · Orthotic Fitter | $1.1M |
| 3 | 1235275629 | $816K |
| 4 | 1275170938 | $345K |
| 5 | 1639151103 | $211K |
| 6 | 1538254461 | $186K |
| 7 | 1003990664 | $131K |
| 8 | 1831708163 | $101K |
| 9 | 1366590812 | $98K |
| 10 | 1013367697 | $89K |
| 11 | 1962702738 | $72K |
| 12 | 1437768223 | $61K |
| 13 | 1629734157 | $50K |
| 14 | 1245387943 | $41K |
| 15 | 1093716334 | $30K |
| 16 | 1669635173 | $19K |
| 17 | 1770125627 | $17K |
| 18 | 1831759497 | $14K |
| 19 | 1639243611 | $11K |
| 20 | 1518423508 | $6K |
Showing top 20 of 21 providers billing this code